Provider Demographics
NPI:1932151339
Name:VERMA, SATYA B (OD)
Entity Type:Individual
Prefix:DR
First Name:SATYA
Middle Name:B
Last Name:VERMA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 CHATHAM LN
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2906
Mailing Address - Country:US
Mailing Address - Phone:215-540-9019
Mailing Address - Fax:215-780-1327
Practice Address - Street 1:650 CHATHAM LN
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2906
Practice Address - Country:US
Practice Address - Phone:215-540-9019
Practice Address - Fax:215-780-1327
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG1030152W00000X, 152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA15356OtherSPECTARA
PA15357OtherS
PA6106961900OtherVSP
PA0026942000OtherKEYSTONE HEALTH PLAN EAST
PA2155409019OtherVSP
PA0005576820002Medicaid
PA111428OtherEYE MED
PA111427OtherEYE MED
PA4548OtherAETNA
PA0005576820002Medicaid
PA105523Medicare PIN
PA111427OtherEYE MED